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THE CITY OF ELK RIVER <br /> BENEFITS COMMITTEE <br /> JANUARY 28; 2000 <br /> MINUTES <br /> <br />Members Present: Scott Harlicker, Cheryll Edinger, Marc Nevinski, Joan Frick, Bob <br /> Mahutga, Lauren Wipper, Lori Johnson <br />Members Not Present: Steve Tillmann <br /> <br />Lori Johnson handed out information to help explain the health insurance premium cost <br />that the City is currently paying. "Here's why we straggle," are the words she used when <br />she handed out the Claims and Loss Ratio History. These are the actual numbers that an <br />insurance company looks at when they are calculating premium rates. What the Claims <br />and Loss Ratio History shows is that insurance companies have been consistently losing <br />money when they insure the City's employees. The Loss Ratios listed in the middle of <br />the page show that the closest a company has come to even breaking even was Health <br />Partners during the period of August 1, 1992 to April 30, 1993, and they still lost .52%. <br />Scott remarked that he's "surprised we're even getting coverage." When we consider <br />these facts, we are lucky that we can fmd insurance. We have had companies refuse to <br />give us a quote for coverage. One year seven companies refused to bid and we were <br />fortunate that Health Partners offered to renew the coverage - with a sizable rate <br />increase. We have a history of needing to beg for coverage because we have a history of <br />high claims. <br /> <br />The other side of the Claims andLoss Ratio History lists the premium history for the <br />City. In October 1994 the employee's out-of-pocket costs for family coverage were the <br />highest at $431.52 per month. Bob asked if there was a way we could join with another <br />group that has good loss ratios to help to make ours look better. Loft explained that that <br />~ exactly what we have been doing. In 1995 we joined the Medica Chamber of <br />Commerce Coalition, which is a coalition for small groups. At that time, we qualified as <br />a "small group" under state law but grew out of that classification shortly after we joined. <br />We were able to stay with them as a large group because we had a contract with them <br />until 1997. This was very fortunate for us. With the coalition we were guaranteed rate <br />increase maximums of 6.5% and 6.0%. One year after starting the Chamber Coalition, <br />Medica realized it was a bad business decision that would result in sizable losses. <br />Medica discontinued offering the program but honored the contracts it had in place. In <br />October 1998 we joined the Central Minnesota Service Cooperative and enrolled with <br />Blue Cross and Blue Shield of MN. With the Coop we were part of a 7,000-member <br />group of cities, counties, and other government groups. Currently we are part of a <br />statewide group of Medica members. <br /> <br />After these lengthy discussions, we moved on to "what's next". We decided that the first <br />goal we would like to accomplish is to establish a full cafeteria plan that will offer <br />employees more flexibility in their insurance coverage. Loft Johnson will look into what <br /> <br /> <br />